Individual provider Active NPI

Joan Boatright Landon, R.PH

  • Pharmacist
  • Waycross, GA
National Provider Identifier
1871015313
Registry record updated Jul 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
010378 Issued in GA
Practice address
1312 Plant Ave
Waycross, GA 31501-3537
Phone
(912) 285-7281
Fax
(912) 285-7546
NPI assigned
Jul 15, 2017
Last updated
Jul 15, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 010378 GA Primary

Addresses

Primary practice location

1312 Plant Ave
Waycross, GA 31501-3537

Mailing address

1312 Plant Ave
Waycross, GA 31501-3537
Phone (912) 285-7281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500076800000",
    "number": "1871015313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 PLANT AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013537",
            "telephone_number": "912-285-7281",
            "fax_number": "912-285-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 PLANT AVE",
            "city": "WAYCROSS",
            "state": "GA",
            "postal_code": "315013537",
            "telephone_number": "912-285-7281",
            "fax_number": "912-285-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDON",
        "first_name": "JOAN",
        "middle_name": "BOATRIGHT",
        "name_prefix": "Mrs.",
        "credential": "R.PH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-15",
        "last_updated": "2017-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "010378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waycross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.